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Archive for May, 2015

MIDWEST AIDS TRAINING + EDUCATION CENTER - INDIANA

Marion County Public Health Department, Epidemiology Request DR2370
Prepared by: Tammie L. Nelson (TNelson@MarionHealth.org)

The Marion County Public Health Department’sRyan White Services Program (RWSP) oversees Ryan White Part A, C, and Minority AIDS Initiative grants in the Indianapolis-Carmel Metropolitan Statistical Area (MSA). These programs serve the needs of persons newly infected or living with HIV and out of care and/or uninsured or medically underserved.

HIV Continuum of Care: Delayed linkage and poor engagement in care among people living with HIV (PLWH) has been associated with increased transmission, drug resistance, quicker progression to AIDS, decreased quality of life, and increased mortality.1,2,3 Thus, it is vital to monitor and improve engagement in each step of the HIV continuum of care. The RWSP employs a continuum of care based on common indicators published by the Health Resources and Service Administration’s HIV/AIDS Bureau (HAB). This method…

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MIDWEST AIDS TRAINING + EDUCATION CENTER - INDIANA

Source: Marion County Public Health Department, Epidemiology Request DR2370
Prepared by: Tammie L. Nelson (TNelson@MarionHealth.org)

The Marion County Public Health Department’sRyan White Services Program (RWSP) oversees Ryan White Part A, C, and Minority AIDS Initiative grants in the Indianapolis-Carmel Metropolitan Statistical Area (MSA). These programs serve the needs of persons newly infected or living with HIV and out of care and/or uninsured or medically underserved.

Estimating HIV Prevalence: Estimation of the number of people living with HIV (PLWH) but undiagnosed and unaware of their serostatus is frequently revised. The Centers for Disease Control and Prevention (CDC) recently decreased the estimate from 15.8% to 14% of PLWH ≥13 years of age.1 Based on this estimate, total prevalence in the MSA on December 31, 2013 is thought to have been 6,223 (5,351 diagnosed and 872 undiagnosed).2,3Target: The National HIV/AIDS Strategy (NHAS) goal is to…

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I co-authored this article with my intern, Morgan Rebeck.

MIDWEST AIDS TRAINING + EDUCATION CENTER - INDIANA

Source: Marion County Public Health Department, Epidemiology Request DR2370
Prepared by: Morgan T. Rebeck (MRebeck@MarionHealth.org) and Tammie L. Nelson (TNelson@MarionHealth.org)

The Marion County Public Health Department’s1 Ryan White Services Program (RWSP)2 oversees the Ryan White Part A, Part C (Outpatient Early Intervention Services) and Minority AIDS Initiative grants in the Indianapolis-Carmel Metropolitan Statistical Area (MSA). These programs serve the needs of persons newly infected with HIV, living with HIV/AIDS (PLWH/A) and out of care, and/or uninsured or medically underserved. RWSP goals are based on the HIV continuum of care3 and the National HIV/AIDS Strategy.4 The goal discussed this month is linkage to care.

Importance of Linkage to Care: Linkage to care is defined as having attended one’s first HIV medical visit within 90 days of HIV diagnosis (measured by receipt of first CD4 or viral load).5 Delayed linkage to HIV care has…

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MIDWEST AIDS TRAINING + EDUCATION CENTER - INDIANA

Marion County Public Health Department, Epidemiology Request DR2370
Prepared by: Tammie L. Nelson

The Marion County Public Health Department’s1 Ryan White Services Program (RWSP)2 oversees Ryan White Part A, Part C (Outpatient Early Intervention Services) and Minority AIDS Initiative grants in the Indianapolis-Carmel Metropolitan Statistical Area (MSA). These programs serve the needs of persons newly infected with HIV, living with HIV/AIDS (PLWH/A) and out of care, and/or uninsured or medically underserved. RWSP goals are based on the HIV continuum of care (Link to HIV continuum) and the National HIV/AIDS Strategy.3 The goal discussed this month is prescription of HIV antiretroviral therapy (ART) to PLWH/A.

Importance of Antiretroviral Therapy – ART reduces viral replication leading to delayed disease progression, preservation of immune function and reduced likelihood of viral resistance.4 This results in improved quality and length of life,5,6 and reduction of HIV transmission…

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My first Quality Matters article for the MATEC Indiana newsletter

MIDWEST AIDS TRAINING + EDUCATION CENTER - INDIANA

Marion County Public Health Department, Epidemiology Request DR2370
Prepared by: Tammie L. Nelson

Continuum of Care – Delayed linkage and poor engagement in care among people living with HIV (PLWH) has been associated with increased transmission, drug resistance, quicker progression to AIDS, increased morbidity (i.e., hospitalizations, opportunistic infections) and increased mortality.[1],[2],[3] For this reason, it is vital to monitor and improve engagement in each step of the HIV continuum of care. Figure 1 illustrates the engagement among PLWH at EOY 2013 in the Indianapolis-Carmel Metropolitan Statistical Area (MSA)[4] as compared to all PLWH in the U.S. at EOY 2011 (includes the MSA).[5],[6]National data reflect engagement in care prior to implementation of initiatives that may be reflected in the more recent MSA data.

Figure 1: HIV Continuum of Care among People Living with HIV/AIDS, Indianapolis-Carmel Metropolitan Statistical Area vs. U.S. Figure 1: HIV Continuum of Care among People Living with HIV/AIDS, Indianapolis-Carmel Metropolitan Statistical Area vs. U.S.

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